Wilson John Preston, Vallejo Javier Brunet, Kumbhare Deepak, Guthikonda Bharat, Hoang Stanley
Department of Neurosurgery, Louisiana State University Health Shreveport, Shreveport, LA 71103, USA.
J Clin Med. 2023 Jul 13;12(14):4652. doi: 10.3390/jcm12144652.
Intraoperative neuromonitoring (IONM) has become an indispensable surgical adjunct in cervical spine procedures to minimize surgical complications. Understanding the historical development of IONM, indications for use, associated pitfalls, and recent developments will allow the surgeon to better utilize this important technology. While IONM has shown great promise in procedures for cervical deformity, intradural tumors, or myelopathy, routine use in all cervical spine cases with moderate pathology remains controversial. Pitfalls that need to be addressed include human error, a lack of efficient communication, variable alarm warning criteria, and a non-standardized checklist protocol. As the techniques associated with IONM technology become more robust moving forward, IONM emerges as a crucial solution to updating patient safety protocols.
术中神经监测（IONM）已成为颈椎手术中不可或缺的辅助手段，以尽量减少手术并发症。了解IONM的历史发展、使用指征、相关陷阱和最新进展，将有助于外科医生更好地利用这一重要技术。虽然IONM在颈椎畸形、硬膜内肿瘤或脊髓病的手术中显示出巨大潜力，但在所有具有中度病变的颈椎病例中常规使用仍存在争议。需要解决的问题包括人为错误、缺乏有效沟通、警报警告标准不一以及检查清单协议不规范。随着与IONM技术相关的技术不断发展完善，IONM成为更新患者安全协议的关键解决方案。
